Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.00 / $5,679.00 / $17,030.00	Facility		$462.00	$5,679.00	$17,030.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,143.00 / $5,863.00 / $11,400.00	Facility		$2,143.00	$5,863.00	$11,400.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $6,848.26	Facility		$66.00	$100.00	$6,848.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,091.14 / $2,471.35 / $5,822.29	Facility		$2,091.14	$2,471.35	$5,822.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $146.69 / $226.95 / $291.64	Professional		$146.69	$226.95	$291.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.62 / $248.88 / $426.03	Professional		$183.62	$248.88	$426.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $850.56 / $903.88 / $16,394.00	Facility		$850.56	$903.88	$16,394.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.92 / $254.29 / $375.55	Facility		$185.92	$254.29	$375.55
United Facility/Professional Facility Modifier Low / Median / High Price $3,459.00 / $7,359.00 / $15,471.00	Facility		$3,459.00	$7,359.00	$15,471.00